376700784-11-22-2019-20-CC-VWIN-BJ6S2B-20191122122917

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700784
Report Date: 11/22/2019
Date Signed: 11/22/2019 12:29:27 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	GROW SMART CHILDREN'S ACADEMY -SPRING VALLEY		FACILITY NUMBER:	376700784
ADMINISTRATOR:	MOHAMMAD, NESRIN		FACILITY TYPE:	850
ADDRESS:	8735 JAMACHA BLVD		TELEPHONE:	(619) 479-7577
CITY:	SPRING VALLEY	STATE: CA	ZIP CODE:	91977
CAPACITY:	43	CENSUS: 22	DATE:	11/22/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:10 AM
MET WITH:	Nesrin Mohammad and Hunan Arshakian		TIME COMPLETED:	12:35 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Vicky Williamson conducted a annual random inspection. LPA met with Director, Nesrin Mohammad, and shortly after LPA's arrival Hunan Arshakian, Facility Administrator arrived. There were 14 preschool children present in the front play area of the facility with 1 teacher an the Director. Classroom #2 had 8 toddlers with 2 teachers. The facility operates within licensed capacity and ratio limitations. Children were observed to be under visual supervision. The facility operates Monday - Friday from 6:30 am to 6:00 pm. The indoor and outdoor of the facility was inspected. The classrooms and restrooms have adequate lighting, heating, and ventilation. All floors appeared to be safe and clean. Furniture, children's cubbies, toys and napping equipment (cots) appeared to be in good condition. Trash can on the playground did not have a cover and contained food and other potential hazardous items. Disinfectants, cleaning solutions and other hazardous items were not stored in locked cabinets. LPA observed a container of bleach and a bottle of Windex in a cabinet that was open in classroom #1 inside of the bathroom above the toilet accessible to children. Medication policies and procedures were reviewed. Menu is posted weekly. All food was inspected and protected from contamination. Food and beverages are stored in covered containers at 45 degrees F or less. Sign in/ sign out sheets were reviewed showing parent/guardian’s signature and time of day recorded. The kitchen and storage areas appeared to be clean. The surface of the outdoor activity space is maintained in a safe condition with sufficient shade. Drinking water is available inside the classrooms and in outdoor play area. There are no bodies of water and weapons present on the premises. The last fire drill was conducted and documented on 10/17/19. The director's office is designated for use by children who are ill. A sample of the children's records were reviewed and include an Admission Agreement in each child’s file. Staff records and transcripts were reviewed to verify teacher qualifications and experience. Opening and closing staff members have current CPR and First Aid certifications. A review of staff records on 11/22/19 indicated that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

SUPERVISOR'S NAME: Joe Carrasco	TELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Vicky Williamson	TELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: GROW SMART CHILDREN'S ACADEMY -SPRING VALLEY	FACILITY NUMBER: 376700784
	VISIT DATE: 11/22/2019

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA and Director reviewed reporting requirements, teacher/child ratio, physical plant, sign in /sign out procedures.

Southern California Child Care Advocate information was provided, and Facility Administrator was encouraged to subscribe through the CCLD website in order to be placed on an email list for updated regulation information. Advocate information was provided: (714) 703-2800 or childcareadvocatesprogram@dss.ca.gov.

See LIC 809 for deficiencies cited during today's inspection. Facility was provided a copy of the appeal rights form LIC 9058 and the signature on this form acknowledges receipt of these rights.

The Notice of Site Visit (LIC 9213) was provided to be posted at the facility for 30 days. LPA observed form LIC 9213 posted.

SUPERVISOR'S NAME: Joe Carrasco	TELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Vicky Williamson	TELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: GROW SMART CHILDREN'S ACADEMY -SPRING VALLEY	FACILITY NUMBER: 376700784
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/22/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/22/2019 Section Cited	1 2 3 4 5 6 7	Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.Storage areas for poisons shall be locked. Requirement was not met as evidenced by: LPA observed a container of bleach and bottle of Windex in a cabinet that was open in classroom #1 inside of the bathroom above the toilet. This poses a potential health and safety risk to children in care.
	8 9 10 11 12 13 14		8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Joe Carrasco	TELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Vicky Williamson	TELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2019

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019

LIC809 (FAS) - (06/04)

Page: 3 of 3